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1841057569
PAULENE MARIE MODINA SOLIS
JACKSONVILLE, FL
NPI
1841057569
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367H00000X Anesthesiologist Assistant
(Licence: FL Pending)
Enumeration Date
2024-02-28
Last Update Date
2024-02-28
Business Address
PAULENE MARIE MODINA SOLIS CAA
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4748
Phone number: 904-308-7300
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Mailing Address
PAULENE MARIE MODINA SOLIS CAA
9829 INTELLECT TRL
JACKSONVILLE, FL 32256-8193
Phone number: 850-228-7846
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